Provider Demographics
NPI:1467534438
Name:ANN HOME HEALTH SERVICEA,INC.
Entity Type:Organization
Organization Name:ANN HOME HEALTH SERVICEA,INC.
Other - Org Name:ANN HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RUTHANN
Authorized Official - Middle Name:
Authorized Official - Last Name:OMOREGIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-403-1754
Mailing Address - Street 1:1302 FOREST HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-1500
Mailing Address - Country:US
Mailing Address - Phone:281-403-1754
Mailing Address - Fax:281-403-0143
Practice Address - Street 1:1302 FOREST HOLLOW DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-1500
Practice Address - Country:US
Practice Address - Phone:281-403-1754
Practice Address - Fax:281-403-0143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010328302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization